Provider Demographics
NPI:1902561830
Name:BARBEITO DELGADO, ALIBETH ALENA
Entity Type:Individual
Prefix:
First Name:ALIBETH
Middle Name:ALENA
Last Name:BARBEITO DELGADO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14311 SW 258TH LN APT 1309
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-6769
Mailing Address - Country:US
Mailing Address - Phone:786-731-5144
Mailing Address - Fax:
Practice Address - Street 1:14311 SW 258TH LN APT 1309
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-6769
Practice Address - Country:US
Practice Address - Phone:786-731-5144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-04
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FLRBT-20-126012106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program